| NPI | 1124651708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1028932) |
| Additional Taxonomies | 163WP2201X Registered Nurse Ambulatory Care (Licence: TX 930646) |
| 363L00000X Nurse Practitioner (Licence: LA 221572) | |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2023-04-26 |